Individual provider · NPI-1

Tanya Elana Zaleschuk, Ed.S

Psychologist, School · Bishop, CA

NPI number1659836351
StatusActive
Last updated in NPPESFeb 6, 2019

Details

NPI
1659836351
Entity type
Individual (NPI-1)
Name
Tanya Elana Zaleschuk
Credential
Ed.S
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 6, 2019
Last updated
Feb 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103TS0200X Psychologist, School3823CAYes

Practice location

386 W Line St
Bishop, CA 93514-3413

Phone 760-872-9153

Mailing address

386 W Line St
Bishop, CA 93514-3413

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